Stroke/transient ischaemic attack (TIA) Circulatory System Other cerebrovascular diseases
Conditions
Interventions
Sponsors
Eligibility
Inclusion criteria
Inclusion criteria: Subjects aged 18 years or greater, either sex, who: 1. Experienced transient ischaemic attack or non-disabling stroke within 90 days of randomisation 2. Have hypertension
Exclusion criteria
Exclusion criteria: 1. Neuroimaging studies suggest other causes for presenting event (e.g., primary intracerebral haemorrhage, tumour, etc.) 2. Unable to communicate in English or French, or severe aphasia 3. Moderate to severe disability with modified Rankin Scale score greater than or equal to 3 4. Known dementia 5. Severe concomitant medical conditions with life expectancy of less than two years 6. Unable or unwilling to return for study-related scheduled follow-ups 7. Concurrent participation in other interventional studies
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Difference between the 12-month and the baseline systolic blood pressure (SBP). | — |
Secondary
| Measure | Time frame |
|---|---|
| Efficacy outcome measures: The difference between the 12-month and baseline values of the following: 1. Diastolic blood pressure (DBP) 2. Medication adherence rate 3. Body mass index 4. Cardiovascular risk score 5. Waist circumference 6. Low density lipoprotein cholesterol (LDL-C) concentration 7. Total cholesterol/high density lipoprotein cholesterol (HDL-C) ratio 8. HbA1c level 9. Cigarette smoking status 10. Alcohol consumption rate 11. Level of physical activities 12. Quality of life (SF-36) 13. Cognitive tests scores The differences between the 24-month and baseline values of these same factors, plus the difference between the 24-month and baseline SBP, constitute the durability outcome measures Other outcome measures: 14. Clinical outcome event (stroke, myocardial infarction [MI], all-cause death) 15. Estimated total healthcare expenditure | — |
Countries
Canada